Individual
MARK BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
41 STAYSAIL WAY, PORTSMOUTH, NH 03801-7304
(603) 380-8070
Mailing address
41 STAYSAIL WAY, PORTSMOUTH, NH 03801-7304
(603) 380-8070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1843
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1843
NH BOARD OF MEDICINE
NH
Enumeration date
01/03/2020
Last updated
09/01/2023
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